QPP Eligibility API

[Phil Lavin]

I am querying the Eligibility API (https://qpp.cms.gov/api/eligibility/graphql) to get Eligibility information for NPI's.  I am trying to understand why I would see contradicting data for a single provider at a practice with multiple rows. 

 Attached is a snippet from the results, I masked some info & below highlighted is what I am trying to better understand.  How would I determine which row would be the correct one to use?  FYI..in the Participation Lookup this provider shows up as not eligible for Individual and Opt-In eligible as individual.

"is_eligible_individual": true,

"is_opt_in_eligible": false,

"is_eligible_individual": false,

"is_opt_in_eligible": true,

Thanks,

 

Phil Lavin

Roji Health Intelligence

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[Craig Powell]

Phil,

Opt In status is maintained in conjunction with both a Program Year (2019 for example) and a Run number, which corresponds to the snapshot periods.  You're receiving more than one response because you have not specified a run number, so you're getting all of them.  

To restrict results to the relevant run, adjust the query to request the default run number (which returns the most recent run available)  

Example

practiceClinicianStatuses(year: 2019, run_number: "default")

Regards

Craig